P Praxis·MD
● Active Type 2 · Organization

Kidsplay Therapy Center, Inc.

Specialist·Loganville, GA· NPI 1619054319 · Enumerated 2006 · 19 years on NPI
Kidsplay Therapy Center, Inc. is 1 of 1881 specialist organizations in Georgia.
NPI age
19 years
Enumerated 2006-11-01
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Ceo, Owner
Last NPPES update
2012-10-19
Source: monthly bulk 2026-05

How this organization compares

Across 1881 active specialist providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
311 Cooper Road
Loganville, GA 300524976
📞 6782055437fax 6783777950
Mailing address
311 Cooper Road
Loganville, GA 300524976
📞 6782055437fax 6783777950

Authorized official

Gretchen R. Clark, OTR/L
Ceo, Owner
📞 6782055437

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    taxonomy 174400000X

Identifiers

TypeValueNotes
05 (GA) 037896932A

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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